A Case of Intestinal Tuberculosis Concurring with Endobronchial and Laryngeal Tuberculosis

장결핵과 동반된 기관지 내 및 후두 결핵 1례

  • Kim, Su Jin (Department of Pediatrics, College of Medicine, Pusan National University) ;
  • Park, Su Eun (Department of Pediatrics, College of Medicine, Pusan National University) ;
  • Lee, Min Gi (Department of Internal Medicine, College of Medicine, Pusan National University) ;
  • Kim, Gun Il (Department of Radiology, College of Medicine, Pusan National University) ;
  • Lee, Chang Hun (Department of Pathology, College of Medicine, Pusan National University) ;
  • Park, Jae Hong (Department of Pediatrics, College of Medicine, Pusan National University)
  • 김수진 (부산대학교 의과대학 소아과학교실) ;
  • 박수은 (부산대학교 의과대학 소아과학교실) ;
  • 이민기 (부산대학교 의과대학 내과학교실) ;
  • 김건일 (부산대학교 의과대학 방사선과학교실) ;
  • 이창훈 (부산대학교 의과대학 병리학교실) ;
  • 박재홍 (부산대학교 의과대학 소아과학교실)
  • Received : 2003.02.17
  • Accepted : 2003.04.30
  • Published : 2003.07.15

Abstract

Although the incidence of tuberculosis has been reduced recently because of the advance of anti-tuberculosis chemotherapy, improvements of public health, and early diagnosis, it is still high in developing countries. Intestinal tuberculosis can occur at any age, but young adults and female are more affected. Early diagnosis of childhood intestinal tuberculosis is difficult, largely because of vague symptoms and nonspecific signs. Recently, tuberculosis of the larynx combined with pulmonary tuberculosis has become quite a rare disease since anti-tuberculous chemotherapy and preventive activities are prevalent. Laryngeal tuberculosis, while relatively well recognized in the adult population, is a rare disease in chidren and adolescents. There are few reports of intestinal tuberculosis combined with endobronchial and laryngeal tuberculosis in children. We have experienced a case of intestinal tuberculosis which concurred with endobronchial and laryngeal tuberculosis in an 18-year-old girl who presented with abdominal pain, diarrhea, weight loss, a brassy cough, and anemia, which was diagnosed by a colonoscopy and bronchoscopy with biopsy.

저자들은 설사와 체중 감소, 기침과 발열을 주소로 내원한 환아에서 장결핵과 기관지 내 결핵, 후두 결핵이 동반된 1례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

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